Prof. Peskin's DPA Scan & Advanced Lipid Analysis
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- Rodney Flowers
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1 Prof. Peskin's DPA Scan & Advanced Lipid Analysis
2 Blood Chemistry: What s Important to me? Note: Enclosed are my results along with my personal opinions of these specific results. Again, they are my opinions as I am not a physician, but a medical scientist I do NOT dispense medical advice. Consult with your physician as to specific interpretations of any specific test. Prof. Peskin is a compensated consultant to a leading DPA manufacturer. Please contact him for additional information. With the 2008 JUPITER Study, it was (once again) confirmed that lowering LDL-C was ineffective in preventing cardiovascular disease. It is well known that cholesterol levels are not predictive of CVD. Furthermore, the Number Needed to Treat (NNT) to see 1 patient success is 100 (as reported by pharmaceutical companies), meaning that statins carry at best a 99% failure rate, dreadful. The study authors then suggested the benefit of statins was in lowering C-reactive protein (CRP) levels. This is another fallacy that I have written about in depth. With the March, 2010 ACCORD study, cardiovascular physicians were disheartened to learn that common treatment protocols for cardiovascular disease in diabetic patients were ineffective. Among these findings were: A) Medications to pharmacologically lower high blood pressure, and B) Medications to pharmacologically lower high triglyceride levels in type II diabetics made no improvement. Since high-risk diabetic patients showed no positive effect with BP and triglyceride lowering treatments, it is unlikely any patient will benefit with these interventions. Pharmacologic (artificial) not physiologic lowering of BP and triglyceride levels may sound good, but don t work. If you have followed my work you will understand why. What are physicians and patients to rely on as an accurate measure of CV risk if blood pressure, triglycerides, and cholesterol are discarded? My answer is a DPA test to assess the physiologic characteristics of your cardiovascular system. The rationale for this suggestion and particulars of the test is featured in the May issue of Townsend Letter for Physicians. I hope for their patient s health, that many physicians implement this testing in the near future. If your physician doesn t have a DPA machine, give him a copy of the Townsend article so he will understand its importance in developing an accurate diagnostic picture. Regarding blood lipids, based on today s state-of-the-art medical science, here is what I, and other medical researchers consider important. Many physicians will not be familiar with these advanced tests, so the tests offered by the following companies will be helpful. These tests may be covered by your insurance so be sure to ask: a) Lipoprotein particle profile ( plus the individual Lp-PLA2 test. The panel gives the Lp(a) level, which is a pro-thrombotic small, dense LDL, the enzyme Lp-PLA2 which is
3 produced in the plaque itself, and panel of LDL particle size distribution and includes other important diagnostic factors including: C-reactive protein, Insulin, and Homocysteine levels. I particularly review the insulin level (mine is very low), LDL particle sizes III & IV density values, and RLP (remnant lipoprotein), which doesn t need to be oxidized to form plaque. My Lp(a) is very low as is the Lp-PLA2 (I had separately obtained from a different laboratory). My LDL Phenotype / Size measured an A (best) as the particle are large, not small, which is best. Of particular note is higher RPL than normal. There are reasons that this, homocysteine, and even C-reactive protein can be elevated temporarily. I will discuss this at the end. b) PLAC test ( ): This company focuses solely on the Lp-PLA2 test alone. Again, Lp-PLA2 is an enzyme that is a marker of inflamed arteries. There is more to a heart attack than just arterial blockage / narrowing. With inflammation, the inside of the arterial wall becomes weakened and more prone to rupture. This lets plaque into the bloodstream, causing a clot (thrombosis). If Lp-PLA2 is low then even if you have plaque buildup, it will be more stable (not as rupture-prone). c) Oxidized LDL oxldl (Realtime Laboratories: E7500 test): contact Direct Labs at for the E7500 test. They send the vial and return analysis instructions. There are 3 levels of measurement: <45, 45-59, and >79. Oxidized cholesterol is a measurement of a combination of the oxidized cholesterol molecule itself and the PEOs it transports along with other oxidized fatty acids. You want OxLDL as low as possible. I have moderate OxLDL and will discuss this at the end. d) Omega-Quant ( at uses a dried blood spot fatty acid profile not plasma. The values are different between the two substances. You obtain the EFA levels in the WHOLE BLOOD sample not tissue. Regardless, it is quite useful to see your baseline level and then after proper PEO supplementation levels. Of course, my profile comes out with less omega-3 series fatty acids than they recommend 3.8%. The company recommends at least 8%. My LA/ALA ratio is 28.3:1 and GLA is 0.3%. The transfats level of omega-6 is 0.4%. Of particular note is that I have moderate OxLDL and higher RPL than normal. There are reasons that homocysteine and even C-reactive protein can be elevated temporarily, such as a common cold, extra stress, either physical or mental. My DPA results are superb (enclosed) showing no issue with the physiologic function of my cardiovascular system. I want to emphasize that I intentionally do NOT have a perfect diet or a perfectly healthy life-style. I have no interest in showing that if you do everything perfectly and follow my recommendations then you will stay healthy. I have to show that in spite of doing a few things not ideally, you will stay in very good cardiovascular shape.
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